1. Introduction to Mother-Friendly Nurse Recognition

20% of survey complete.

Since 1996, the Coalition for Improving Maternity Services (CIMS) has stood at the forefront of a grassroots effort to restore normal, healthy childbirth practices. Today, it is our honor to confer Mother-Friendly Nurse Recognition to nurses around the country who provide patient care that is consistent with the Principles and Ten Steps of the Mother-Friendly Childbirth Initiative.

Every day, America’s nurses play an integral part in providing quality, evidence-based care that is respectful of the mother-baby dyad, resulting in excellent medical outcomes and the highest levels of patient satisfaction. CIMS developed “Mother-Friendly Nurse Recognition”--a personal and public recognition of individuals providing exemplary care--to send the important message that Mother-Friendly nursing care is a priority service to which all birthing women are entitled.

Note: The online application is designed to allow multiple applications per computer. You can go back to previous pages in the application and update existing responses only until the application is finished or until you have exited the application. If you exit the application before it’s complete, you will have to re-enter the information. We suggest that you browse through this online application, prepare your responses in a separate Word document, and copy/paste the information into this application only once you are ready to submit.

Question Title

* Applicant Information:

Question Title

* I am a: (select all that apply)

Applicants must complete the self-assessment tool, “Is Your Perinatal Practice Mother-Friendly?” The self-assessment tool is available online at http://www.surveymonkey.com/s/M9XLRZL.

To be eligible for Mother Friendly Nurse Recognition, applicants must also endorse the Principles and Ten Steps of the Mother-Friendly Childbirth Initiative. To complete this process, visit http://www.motherfriendly.org/MFCI.

Question Title

* Have you...

  Yes No
Completed the self-assessment "Is Your Perinatal Practice Mother-Friendly?"
Endorsed the Mother-Friendly Childbirth Initiative?